Tag Archives: criticism

Improving dementia services will take time

When the National Dementia Strategy was launched amid much fanfare last February, the government said that dementia would become a priority and services would be improved. But nearly a year on, the rhetoric hasn’t been backed up by enough action, according to the National Audit Office.

In its interim report on improving dementia services in England the NAO was heavily critical of the implementation of the strategy – or lack of it.

Amyas Morse, head of the NAO, said; “At the moment this strategy lacks the mechanisms needed to bring about large scale improvements and without these mechanisms it is unlikely that the intended and much needed transformation of services will be delivered within the strategy’s 5-year timeframe.”

However, some feel that the NAO has jumped the gun with its criticism. For instance, Martin Green, chief executive of the English Community Care Association, called the report “somewhat premature”. He believes that while there is a lot more to be done to improve services, “the development of the strategy and the achievements so far represent a significant improvement in raising the profile of dementia services and giving some clear direction for the future of care and support.”

Green does have a point; it needs to be recognised that it takes time – especially in local authorities and the NHS – for change to happen. For instance, one of the main aims of the strategy is to give basic training in dementia to every health professional that comes into contact with someone with the condition. It takes time to set a project like that up and then complete it.

It is a 5-year strategy and shouldn’t be judged too harshly yet. But nevertheless the NAO’s report should serve as a kick up the behind for government, local authorities and the NHS to ensure that they do implement measures to improve dementia services or at least start putting the mechanisms in place to do so.

This agenda is evidently not going to be forgotten about, and organisations such as the NAO won’t be afraid to criticise if they see things aren’t going as well as they should be. This should ensure that the Dementia Strategy isn’t quietly swept under the carpet by the bodies involved – possibly tempting given the swingeing public sector funding cuts coming – and do, in time, deliver the standards of services required.

Leave a comment

Filed under dementia

Ofsted needs to learn from criticism

Ofsted’s annual report on care, education and skills is out today, but rather than celebrate progress and successes, various groups – notably the Local Government Association and the Association of Directors of Children’s Services – have wasted no time in putting the boot into the regulator.

The LGA says Ofsted “should be the calm, measured voice that helps to make child protection services work better rather than feeding people’s fears.”

Then, more provocatively – and obviously aimed at journalists looking for a juicy public-sector punch-up – the LGA added, “Ofsted has become too concerned about protecting its own reputation and places a disproportionate emphasis on publicly highlighting weaknesses in child protection without adequately reflecting the huge amount of good work being done by councils across the country.”

Meanwhile, the ADCS – which has a fractious relationship with Ofsted at the best of times – fuelled the fire with its own report. It said there are “very serious problems” with the current inspection model and that it is “ripe” for reform. However, ADCS did say that Ofsted should continue to inspect education and children’s services.

While regulators aren’t there to be popular, the criticism of Ofsted is stinging and with such venomous feelings towards it indicates that there are problems that need to be addressed.

For the public to have confidence in children’s services and education there has to be confidence in the regulator that governs it. If this is being undermined, it needs to be addressed quickly.

For instance, there is certainly a groundswell of opinion that Ofsted needs to get away from a perceived ‘box-ticking’ culture when it assesses services; it has been said to me that it can feel if they are being ‘marked’ during assessments.

And while Ofsted could probably do more to publicise the good work that is being done within children’s services, this is not solely their problem – the whole sector needs to be better at flagging up good work.

But Ofsted really needs to show that it can recognise criticism and learn from it – much like that it tells councils to after assessments. That way, everyone has the chance to improve and develop.

Leave a comment

Filed under children's social work